Document Detail

Efficacy of sonographically guided intra-flexoral sheath corticosteroid injection in the treatment of trigger thumb.
MedLine Citation:
PMID:  23268819     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: The aim of this study was to determine the efficacy of sonographically guided intra-flexoral sheath corticosteroid injection in the treatment of trigger thumb.
METHODS: This study included 112 trigger thumbs of 104 patients (7 males, 97 females; mean age: 52.11 years) studied prospectively from 2009 to 2011. All patients experienced pain, tenderness, discomfort and/or triggering with flexion/extension of the thumb and palpable nodules at the level of the A1 pulley. Ultrasonographically guided corticosteroid injection was performed on all affected thumbs. Thumb improvement was evaluated using the Quinnell grading system and patients were followed up for one year.
RESULTS: All 112 thumbs received one ultrasonographically guided corticosteroid injection. Fifteen thumbs (13.4%) needed re-injection and/or surgery during their one year follow-up. Eight (53.3%) of these 15 cases, had a pre-treatment Quinnell Grade of 4, six (40%) thumbs were Grade 3 and one (6.7%) was Grade 2. Twelve were re-injected, two underwent surgery without re-injection and one underwent surgery after showing no improvement following re-injection. There was a significant reduction in the post-injection Quinnell grade (p<0.0001). One year after the initial injection, 108 thumbs (96.4%) were completely symptom-free.
CONCLUSION: Sonographically guided intra-flexoral sheath corticosteroid injection is an effective method in the treatment of trigger thumb and reduces the need for surgery.
Mohsen Mardani Kivi; Farivar Abdullahzadeh Lahiji; Ali Babaei Jandaghi; Khashayar Saheb Ekhtiari; Keyvan Hashemi Motlagh
Related Documents :
23806049 - Pure bipolar plasma vaporization of the prostate: the zürich experience.
24155509 - The aesthetic applications of intense pulsed light using the lumenis m-22 device.
24287689 - Pasireotide monotherapy in cushing's disease: a single-centre experience with 5-year ex...
24630069 - Two-year follow-up of changes in bite force and occlusal contact area after intraoral v...
23647839 - Fosphenytoin induced transient pendular nystagmus.
23878699 - Evaluation of schistosoma mansoni morbidity one year after praziquantel treatment in rh...
25222189 - Arthroscopic capsulolabral reconstruction for posterior shoulder instability in patient...
14967439 - Successful reduction of in-stent restenosis in long lesions using beta-radiation--suban...
18043099 - Unilateral versus bilateral neck exploration for primary hyperparathyroidism: five-year...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta orthopaedica et traumatologica turcica     Volume:  46     ISSN:  1017-995X     ISO Abbreviation:  Acta Orthop Traumatol Turc     Publication Date:  2012  
Date Detail:
Created Date:  2012-12-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9424806     Medline TA:  Acta Orthop Traumatol Turc     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  346-52     Citation Subset:  IM    
Department of Orthopedics, Guilan University of Medical Sciences, Rasht, Iran.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Comparison of dorsal and volar percutaneous screw fixation methods in acute Type B scaphoid fracture...
Next Document:  Comparison of tunnel expansion and isometric muscle strength after ACL reconstruction with single- o...